Ver el código de «Ventriculoperitoneal shunt drainage»

==Indications==
[[File:Diagram showing a brain shunt CRUK 052.png|thumb|A diagram of a typical brain shunt with component parts.]]
*Should only be performed by emergency physician in an emergency
*Alleviates [[increased ICP]] and helps make definitive diagnosis
*Can also attempt medical management (mannitol and hyperventilation).

==Contraindications==

==Equipment Needed==
*LP kit
*25 gauge butterfly needle or 23 gauge needle
*Topical [[Lidocaine]] (if time)

==Procedure==
[[File:Ventriculoperitoneal shunt - surgical wound healing - head - day 15 - stitches removed - 2018.jpg|thumb|Port site on head.]]
*Prep
**Have patient seated upright
**Prepare tap site in sterile manner using iodine (hair does not need to be shaved)
*23ga needle or butterfly attached to a manometer is inserted into the reservoir
**If no fluid returns or flow ceases, a proximal obstruction is likely
*Measure opening pressure (nl = 12 +/- 2)
**Measure while reservoir outflow is occluded
**Opening pressure >20 indicates distal obstruction; low pressure indicates proximal
*Fluid removal (for increased ICP)
**Remove slowly to avoid choroid plexus bleeding
**Remove until pressure is 10-20

==Complications==
*If no fluid can be drained, be concerned for proximal obstruction and is a surgical emergency due to risk for herniation

==See Also==
*[[Ventriculoperitoneal shunt problems]]

==External Links==

==References==
<references/>

[[Category:Procedures]]
[[Category:Neurology]]